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D
Damage Assessment
The process of assessing damage, following a disaster, to computer hardware, vital records, office facilities, etc. and determining what can be salvaged or restored and what must be replaced.
Data Backup Strategies
Those actions and backup processes determined by a healthcare organization to be necessary to meet its data recovery and restoration objectives. Data backup strategies will determine the timeframes, technologies, media and offsite storage of the backups, and will ensure that recovery point and time objectives can be met.
Data Backups
The duplication of system, application, program and/or production files to media that can be stored both on and/or offsite. Data backups can be used to restore corrupted or lost data or to recover entire systems and databases in the event of a disaster. Data backups should be considered confidential and should be kept secure from physical damage and theft.
Data Center Recovery
The component of Disaster Recovery which deals with the restoration, at an alternate location, of data centers services and computer processing capabilities.
Data Communications
The movement of data between geographically separate locations via public and or private electrical or optical transmission systems.
Data Condition
A description of the circumstances in which certain data is required.
Data Content Committee (DCC)
See also Designated Data Content Committee or Designated DCC.
Data Content Under HIPAA
this is all the data elements and code sets inherent to a transaction, and not related to the format of the transaction.
Data Council
A coordinating body within HHS that has high-level responsibility for overseeing the implementation of the A/S provisions of HIPAA.
Data Dictionary (DD)
A document or system that characterizes the data content of a system.
Data Element
the smallest unit of named information. In X12 language, that would be a simple data element.
Data Element
Under HIPAA, this is the smallest named unit of information in a transaction.
Data Interchange Standards Association (DISA)
A body that provides administrative services to X12 and several other standards-related groups.
Data Mapping
The process of matching one set of data elements or individual code values to their closest equivalents in another set of them. This is sometimes called a cross-walk.
Data Model
A conceptual model of the information needed to support a business function or process.
Data Recovery
The restoration of computer files from backup media to restore programs and production data to the state that existed at the time of the last safe backup.
Database Replication
The partial or full duplication of data from a source database to one or more destination databases. Replication may use any of a number of methodologies including mirroring or shadowing, and may be performed synchronous, asynchronous, or point-in-time depending on the technologies used, recovery point requirements, distance and connectivity to the source database, etc. Replication can if performed remotely, function as a backup for disasters and other major outages.
D-Codes
A subset of the HCPCS Level II medical code set with a high-order value of "D" that has been used to identify certain dental procedures. The final HIPAA transactions and code sets rule states that these D-codes will be dropped from the HCPCS, and that CDT codes will be used to identify all dental procedures.
Declaration Fee
A one-time fee, charged by an Alternate Facility provider, to a customer who declares a disaster.
| Note | Some recovery vendors apply the declaration fee against the first few days of recovery. 1) An initial fee or charge for implementing the terms of a recovery agreement or contract. |
Declaration
A formal announcement by pre-authorized personnel that a disaster or severe outage is predicted or has occurred and that triggers pre-arranged mitigating actions (e.g. a move to an alternate site.)
Decoys
Decoys or "honey pots" can optionally deployed to distract any potential attackers until their activities can be detected. Such a decoy must not be advertised as a lure but rather act as a tethered lamb to lure attackers away from more sensitive hosts. These are heavily instrumented hosts so they provide a lot of alarms and logs of activities that touch them.
Dental Content Committee (DeCC)
A healthcare organization, hosted by the American Dental Association that maintains the data content specifications for dental billing. The Dental Content Committee has a formal consultative role under HIPAA for all transactions affecting dental health care services.
Descriptor
The text defining a code in a code set.
Designated Code Set
A medical code set or an administrative code set that HHS has designated for use in one or more of the HIPAA standards.
Designated Data Content Committee or Designated DCC
A healthcare organization which HHS has designated for oversight of the business data content of one or more of the HIPAA-mandated transaction standards.
Designated Standard
A standard which HHS has designated for use under the authority provided by HIPAA.
DID (Direct Inward Dialing)
The ability to make a telephone call directly into an internal extension within a healthcare organization, without having to go through the operator.
Digital Imaging and Communications in Medicine (DICOM)
A standard for communicating images, such as x-rays, in a digitized form. This standard could become part of the HIPAA claim attachments standards.
Direct Data Entry (DDE)
Under HIPAA, this is the direct entry of data that is immediately transmitted into a health plan's computer.
Disaster Recovery Planning
The technological aspect of business continuity planning. The advance planning and preparations that are necessary to minimize loss and ensure continuity of the critical business functions of a healthcare organization in the event of disaster.
Disaster
A sudden, unplanned calamitous event that creates an inability to provide critical business functions for some period of time that exceeds the RTO.
Disclosure History
Under HIPAA this is a list of any entities that have received personally identifiable health care information for uses unrelated to treatment and payment.
Disclosure
Release or divulgence of information by an entity to persons or healthcare organizations outside of that entity.
Disk Mirroring
Disk mirroring is the duplication of data on separate disks in real time to ensure its continuous availability, currency and accuracy. Disk mirroring can function as a disaster recovery solution by performing the mirroring remotely. True mirroring will enable a zero recovery point objective. Depending on the technologies used, mirroring can be performed synchronously, asynchronously, semi-synchronously, or point-in-time.
DME
Durable Medical Equipment.
DMEPOS
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies.
Draft Standard for Trial Use (DSTU)
An archaic term for any X12 standard mat has been approved since the most recent release of X12 American National Standards. The current equivalent term is "X12 standard".
DRG
Diagnosis Related Group.
Drop Ship
A strategy for providing alternate processing capability in a disaster, via contractual arrangements with an equipment supplier, to ship replacement hardware within a specified time period.
